JAN SELANDER LCSW
NPI 1396138350
Social Worker - Clinical in Rockford, IL

Q: What is Jan Selander's NPI number?

The NPI number for Jan Selander is 1396138350. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Q: What is Jan Selander's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jan Selander was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2015PECOS EnrolledAccepts Medicare Assignment

6735 VISTAGREEN WAY STE 210, ROCKFORD, IL 61107(815) 520-6972(815) 904-6419 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2021, Mar 17, 2018, Jul 16, 2017 (3 updates tracked since 2017).

On this page

About Jan Selander Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN SELANDER LCSW (NPI 1396138350) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149017603) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396138350

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJAN SELANDERCredential: LCSW

Location Address6735 VISTAGREEN WAY STE 210Rockford, IL 61107-5654

Mailing Address6735 Vistagreen Way Ste 210Rockford, IL 61107-5654 · (815) 520-6972 · Fax (815) 904-6419

Phone(815) 520-6972

Fax(815) 904-6419

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 13, 2015

Last NPPES UpdateApril 20, 20233 updates tracked since enumeration

NPPES CertifiedApril 20, 2023

✔ NPI 1396138350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149017603

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 150.012163 (IL)

6735 VISTAGREEN WAY STE 210, Rockford, IL 61107

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jan Selander Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638473887

PECOS Enrollment IDI20160208001935

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA TRIPODI L.C.S.W.

Social Worker (Clinical)